Endoscopic Finding According to Symptoms in Patients with Functional Dyspepsia

Kim, Jin Il; Jun, Eun Jung; Kim, Tae Ho; Kim, Jeong Ho; Cheung, Dae Young; Chung, Woo Chul; Kim, Byung Wook; Kim, Sung Soo; Park, Soo Heon

doi:2011.11.2.124

Korean J Helicobacter Up Gastrointest Res > Volume 11(2); 2011 > Article

Original Article

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2011;11(2):124-128.
DOI: https://doi.org/10.7704/kjhugr.2011.11.2.124 Published online September 10, 2011.

Endoscopic Finding According to Symptoms in Patients with Functional Dyspepsia

Jin Il Kim, Eun Jung Jun, Tae Ho Kim, Jeong Ho Kim, Dae Young Cheung, Woo Chul Chung, Byung Wook Kim, Sung Soo Kim, Soo Heon Park

Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. psheon5132@naver.com

기능성 소화불량증 환자에서 증상에 따른 내시경 소견

김진일, 전은정, 김태호, 김정호, 정대영, 정우철, 김병욱, 김성수, 박수헌

가톨릭대학교 의과대학 내과학교실

Abstract

BACKGROUND/AIMS
This study verifies whether endoscopic findings differ according to the symptoms of patients with functional dyspepsia. MATERIALS AND METHODS: This study surveyed upper gastrointestinal symptoms in 325 patients with functional dyspepsia and conducted esophagogastroduodenoscopy. The endoscopic findings were classified according to the Sydney classification, as edema, erythema, friability, exudates, flat erosion, raised erosion, rugal hyperplasia, atrophy, visibility of vascular pattern, intramural bleeding spot, nodularity, respectively in antrum, body and fundus. RESULTS: 1) The average age of 325 patients was 47.8 years. There were 134 males and 191 females among the 325 patients. 2) Among 325 patients, 134 (41.2%) had epigastric pain syndrome, 169 (52.0%) had postprandial distress syndrome, and 22 (6.7%) had unspecific dyspepsia. 3) Compared to postprandial distress syndrome patients, those with epigastric pain syndrome had more erythema (85.1% vs. 60.2%, P<0.01) and raised erosion (26.0% vs. 18.9%, P=0.01) in antrum, and more erythema (59.0% vs. 36.7%, P=0.02) in body. 4) Compared to epigastric pain syndrome patients, those with postprandial distress syndrome had more atrophy (23.7% vs. 10.4%, P=0.04) in fundus. CONCLUSIONS: Erythma and raised erosion were more frequently observed in antrum of epigastric pain syndrome patients, and atrophy was frequently observed in fundus of postprandial distress syndrome patients, through endoscopy.

Key Words: Dyspepsia; Esophagogastroduodenoscopy; Symptoms